• City of Littleton (Littleton, CO)
    …is benefits eligible._** The City of Littleton is seeking a Digital Accessibility Specialist to join the Information Technology team and lead efforts in ensuring the ... to ensure accessibility for all users. The Digital Accessibility Specialist will provide training, guidance, and support to city...City of Littleton. **Hiring pay range $80,076 - $84,291 per year** This full-time term-limited position is exempt … more
    DirectEmployers Association (10/08/25)
    - Save Job - Related Jobs - Block Source
  • Stanford Health Care (Palo Alto, CA)
    …be discovered. Day - 08 Hour (United States of America) In the VBM Senior Specialist role, we are looking for a candidate who excels in collaboration with clinicians ... job.** **A Brief Overview** The Senior Value Based Management Specialist works as a key link between the supply...Train Value Based Management committee members to analyze and review data effectively during product evaluations. + Develop and… more
    DirectEmployers Association (09/19/25)
    - Save Job - Related Jobs - Block Source
  • Florida Atlantic University (Boca Raton, FL)
    …Optimization AI Specialist - Boca Raton, FL. The Process Optimization AI Specialist is pivotal in enhancing the utilization of Florida Atlantic's cloud-based ... staff, and faculty, FAU offers: + Excellent benefit packages including Medical (PPO/HMO $50 per month single & $180 per month family), Dental, Vision, Life… more
    DirectEmployers Association (07/31/25)
    - Save Job - Related Jobs - Block Source
  • WORKCARE INC (Albany, OR)
    …- Thursday 5:30am - 10:30am and Friday 6:00am - 10:00am. (24 hours per week). Essential Duties and Responsibilities Provides employees with rapid first aid and ... practice and as supported by the CMD or Medical Review Officer (MRO). Assists the CMD with health care...to incident reports and tracking of injury and clinic utilization data. Actively participates in emergency response team activities,… more
    Upward (07/31/25)
    - Save Job - Related Jobs - Block Source
  • CoxHealth (Lake Spring, MO)
    …feedback for the following Committees: 1) Coding and Documentation Committee 2) Utilization Review Committee 3)SOI Scorecard Committee 4) Educational sessions ... order to analyze data to determine when to mentor and educate CDI Specialist (s) to improve their practice. Additionally will be responsible for assisting providers… more
    Talent (10/15/25)
    - Save Job - Related Jobs - Block Source
  • Commonwealth Care Alliance (Springfield, MA)
    …to influence the outcomes of assigned patients by impacting acute care utilization , ensuring optimal treatment and closing gaps in care through connecting patients ... will play an integral role supporting patients with frequent utilization of Emergency Departments and acute admissions with the...This position requires travel to CCA sites and offices per required need for various team meetings. + Valid… more
    DirectEmployers Association (10/07/25)
    - Save Job - Related Jobs - Block Source
  • Commonwealth Care Alliance (Boston, MA)
    …skills to improve CCA enrollee outcomes by impacting care access and utilization , closing care quality gaps, and optimizing member connection to medical, behavioral ... an integral role in reducing high emergency department (ED) and inpatient utilization related to unmet social needs, including housing, food, community resources… more
    DirectEmployers Association (08/27/25)
    - Save Job - Related Jobs - Block Source
  • Commonwealth Care Alliance (Springfield, MA)
    …influence the clinical outcomes of assigned patients by impacting acute care utilization , ensuring optimal treatment for behavioral health needs, and closing quality ... Timely Psychiatric post hospital discharge with focus on hospitalization and utilization reduction + Facilitating and/or delivering preventative care and behavioral… more
    DirectEmployers Association (10/07/25)
    - Save Job - Related Jobs - Block Source
  • Oregon State University (Baker City, OR)
    …communities. Some travel/driving to Corvallis is expected (an average of 3-4 visits per year to Corvallis). Occasional evening and weekend work is required. This ... Educational Rights and Privacy Act ( FERPA ), Institutional Review Board ( IRB ) and OSU Youth Safety...with Youth CTE , Trades, and Workforce Development state specialist ). + Collaborate with the BMCC Baker County team… more
    DirectEmployers Association (10/10/25)
    - Save Job - Related Jobs - Block Source
  • National Renewable Energy Laboratory (Golden, CO)
    …and may be extended as needed. **Annual Salary Range (based on full-time 40 hours per week)** Job Profile: Specialist II / Annual Salary Range: $43,700 - $69,900 ... CO - Golden . **Position Type** Regular . **Hours Per Week** 40 . **Working at NREL** NREL is...Notification System (ENS) sheets and SOPs. Surveillance & Technology Utilization : + Operate CCTV systems for situational awareness and… more
    DirectEmployers Association (09/27/25)
    - Save Job - Related Jobs - Block Source
  • Prysmian (Highland Heights, KY)
    …Us (https://www.youtube.com/watch?v=ZVx-NAGfjEs&feature=embtitle) **Overview:** Prysmian Group is seeking a Credit Specialist who will work to minimize bad debt risk ... ensure payment terms are adhered to within assigned portfolio of accounts and review A/R aging reports to determine account status and initiate collection procedures… more
    DirectEmployers Association (07/29/25)
    - Save Job - Related Jobs - Block Source
  • US Fish and Wildlife Service (Titusville, FL)
    …and instruct lower graded employees on crewmember duties; 2) plan action and direct utilization of fireline resources on less complex fires; and 3) for more complex ... engine resupply. Performs specialized duties such as water handling specialist or maintenance of specialized equipment used to respond...MUST reflect FULL-TIME/PART-TIME or total number of HOURS worked per week Please limit your resume to no more… more
    Upward (08/09/25)
    - Save Job - Related Jobs - Block Source
  • Utilization Review Specialist

    Westborough Behavioral Healthcare Hospital (Westborough, MA)
    …UR Specialist to provide Per Diem coverage. Job Description: The Utilization Review Specialist is responsible for monitoring adherence to the ... hospital's utilization review plan to ensure the effective...experience. + 2-3 years experience working as a UR Specialist , Medical Billing or health care quality assurance. +… more
    Westborough Behavioral Healthcare Hospital (10/14/25)
    - Save Job - Related Jobs - Block Source
  • RN Utilization Review

    HonorHealth (AZ)
    …here -- because it does. Learn more at HonorHealth.com. Responsibilities Job SummaryThe Utilization Review RN Specialist reviews and monitors utilization ... quality cost-effective care. Ensures appropriate level of care through comprehensive review for medical necessity of extended stay, outpatient observation, and… more
    HonorHealth (09/10/25)
    - Save Job - Related Jobs - Block Source
  • Behavioral Health Utilization Management…

    Common Ground (Flint, MI)
    …Disabilities Professional (QIDP) defined by the State of Michigan + Certified Utilization Review Professional (URAC), CCM, or similar preferred. Active Michigan ... Exciting Career Opportunity! The Behavioral Health Utilization Management (UM) Specialist is responsible...with the team, for a minimum of two shifts per month on-site. Compensation $29.00 - $34.00 per more
    Common Ground (10/17/25)
    - Save Job - Related Jobs - Block Source
  • Insurance Specialist -Mount Sinai West-…

    Mount Sinai Health System (New York, NY)
    **Job Description** **Insurance Specialist Mount Sinai West Utilization Mgmt FT Days EOW** To maintain front end operations of the Case Management Department by ... Word + Strong Communication skills Non-Bargaining Unit, BEZ - Utilization Management - WST, Mount Sinai West **Responsibilities** **A....Requests / Denials when received in the department as per protocol + Requests or provides Medical Records as… more
    Mount Sinai Health System (10/22/25)
    - Save Job - Related Jobs - Block Source
  • Utilization Management Specialist

    Mount Sinai Health System (New York, NY)
    **Job Description** ** Utilization Management Specialist MSH Case Management FT Days** This position is responsible for coordinating requests for clinical ... internal and external to the institution. Position responsibilities will include utilization management support functions for patient admissions and continuing stay.… more
    Mount Sinai Health System (10/03/25)
    - Save Job - Related Jobs - Block Source
  • Per Diem - Behavioral Health…

    Stony Brook University (Stony Brook, NY)
    Per Diem - Behavioral Health Specialist **Position Summary** At Stony Brook Medicine, our Behavioral Health Specialist : + Orients patients to treatment ... interventions, restraint/seclusion, behavior plan development and safety plan development, utilization and monitoring. + Conducts a variety of patient treatment… more
    Stony Brook University (09/02/25)
    - Save Job - Related Jobs - Block Source
  • Clinical Denials Prevention & Appeals…

    Nuvance Health (Danbury, CT)
    …the time of review . If unable to resolve, escalate to the PA and Utilization Review (UR) Leadership. * Coordinate with the care team in changing patient ... *Description* * Per Diem Shifts Available- Days, Evenings, Nights available*...to internal leadership for assistance in resolution. *Responsibilities* * Review all inpatient admission and observation cases using InterQual,… more
    Nuvance Health (09/25/25)
    - Save Job - Related Jobs - Block Source
  • Senior Denials Mgmt Specialist

    Houston Methodist (Sugar Land, TX)
    …Senior Denials Management Specialist position is responsible for performing utilization review activities, and monitoring the clinical denial management and ... Seven years clinical nursing/patient care experience which includes three years in utilization review , case management or equivalent revenue cycle clinical role… more
    Houston Methodist (07/31/25)
    - Save Job - Related Jobs - Block Source